| NPI | 1962778308 |
|---|---|
| Former Name | LEIGH JOANNE RUTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME132274) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2021-03-31 |